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Culture War Roundup for the week of March 18, 2024

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Yes, I am in favor of more palliative care options and honest counseling. But the question isn't whether you would let the child die but rather would you let the parents kill the child? Maybe the distinction is meaningless to your ethical system, but it is not to many people's ethical systems.

I thought I answered that clearly in the first word: No.

Honestly, that distinction is meaningful in most contexts but is a lot less distinct for a newborn, especially one with serious medical problems.

I would not object.

In reality, I would be constrained by legal concerns and my desire to maintain my job and good standing with the medical licensing boards of two different nations. But in that case, I would object only because I'm forced to, not because I want to.

I've seen plenty of babies born for whom the kindest option would be a pillow over the face, if an overdose of morphine wouldn't suffice. Thankfully most of them just die on their own when the "acceptable" option of extending minimal supportive care or simply withdrawing it is possible, which is thankfully accepted in the UK.

Most countries let the parents surrender the child if they don't think they can care for it themselves, though with severe conditions nobody else is really able to either.

I knew some teen girls who were basically pressed into service from a young age caring for their disabled younger sister who needed around the clock care or she would die (it sounded like the government had approved funds to hire a carer, but it was difficult and unstable to actually find one), and it didn't seem very good that they were doing that instead of having more normal childhoods themselves.

I'm not sure that I could care for a highly disabled baby very well, with two children already. It wasn't even that trivial to get them to learn to eat at first, and they were healthy. Newborn babies are unbelievably dependent on their mothers taking active steps to keep them alive. My expectation would be that babies with very severe problems mostly weren't up to breastfeeding before modern medicine, and usually couldn't get enough nutrition to survive. It's not a clear win to then hook them up to a feeding tube and oxygen or something if their parents don't even want that and the prognosis is basically hopeless.